CLINICA MEDICA SAN BLAS – NPI #1982035069
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

CLINICA MEDICA SAN BLAS is a provider located in STANTON, CA. NPPES has assigned the NPI number 1982035069 to CLINICA MEDICA SAN BLAS on November 27, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLINICA MEDICA SAN BLAS” is a dba name, the actual legal business name for this organization is SAN BLAS MEDICAL CLINIC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINICA MEDICA SAN BLAS below.

NPI Profile for
SAN BLAS MEDICAL CLINIC

NPI Number
1982035069
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN BLAS MEDICAL CLINIC
Doing Business As (dba): CLINICA MEDICA SAN BLAS
Primary location
7777 KATELLA AVENUE
STANTON, CA 90680
Phone: (714) 220-2223 Fax: (714) 220-2249
Mailing address
Same as primary location
Organization Subpart
Yes - CLINICA MEDICA SAN BLAS is subpart of another organization.
Authorized Official
JESUS FRAUSTO
PRESIDENT
Phone: (714) 220-2223
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 CA A-79043

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.